{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "BIRDI, INC.",
"LastName": null,
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"NamePrefix": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 51580",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PHOENIX",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85076-1580",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "856-873-8739",
"MailingAddressFaxNumber": "888-783-1773",
"FirstLinePracticeLocationAddress": "8060 S KYRENE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TEMPE",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85284-2109",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "855-873-8739",
"PracticeLocationAddressFaxNumber": "888-783-1773",
"EnumerationDate": "01/24/2022",
"LastUpdateDate": "09/08/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FLECK",
"AuthorizedOfficialFirstName": "PETER",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SR DIRECTOR OF PHARMACY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "906-202-3131",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336S0011X",
"TaxonomyName": "Specialty Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}